Individual provider Active NPI

Charles I Haffajee, MD

  • Clinical Cardiac Electrophysiology Physician
  • Boston, MA
National Provider Identifier
1952397523
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MH40601 Issued in MA
Practice address
330 Brookline Ave
Cardiovascular Medicine
Boston, MA 02215-5400
Phone
(617) 632-7521
Fax
(617) 632-7533
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MH40601 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Cardiovascular Medicine
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Cardiovascular Medicine
Boston, MA 02115-2907
Phone (617) 632-7582

Other identifiers 1

IdentifierTypeStateIssuer
2053594MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000827 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 9739124777 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants of Cape Cod LLCGroup PAC ID 8426069808, 4 clinicians
Heart Center PCGroup PAC ID 4385686690, 3 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

140 Yarmouth Rd
Hyannis, MA 02601-3064
Phone (508) 778-8818

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

52 Park St
Hyannis, MA 02601-5206
Phone (508) 771-8804

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MH40601MAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 25, 2011 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 25, 2011 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2009 Accepting new patients
Cardiovascular Consultants of Cape Cod LLC CurrentSince Jul 28, 2006 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Jun 6, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2009 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
#7
Boston, MA 02215
Phone (617) 632-7483

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

140 Yarmouth Rd
Hyannis, MA 02601
Phone (508) 775-6131

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

Interoperability endpoints

  • Direct secure messaging: chaffajee254569@direct.bilh.masshiway.net
  • Direct secure messaging: charles.haffajee@direct.signature.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1952397523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "CARDIOVASCULAR MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152907",
            "telephone_number": "617-632-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "CARDIOVASCULAR MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-632-7521",
            "fax_number": "617-632-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFAJEE",
        "first_name": "CHARLES",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "MH40601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053594",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.